Jill Mulkey

Primary specialty

Neonatal Clinical Nurse SpecialistTaxonomy code 364SN0000X

License

657 Issued in SC

Practice address

125 Commonwealth Dr
Greenville, SC 29615-4812

Phone

(864) 675-4425

Fax

(864) 675-4499

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Musc Community Physicians

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment NPD
• Musc Community Physicians

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Regional Medical Center of Orangeburg and Calhoun Counties

  • Community/Retail Pharmacy
  • Orangeburg, SC
  • NPI 1467709881
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1962804500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COMMONWEALTH DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154812",
            "telephone_number": "864-675-4425",
            "fax_number": "864-675-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMONWEALTH DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154812",
            "telephone_number": "864-675-4425",
            "fax_number": "864-675-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKEY",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SN0000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neonatal",
            "state": "SC",
            "license": "657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence Noah Mukonje
• Amber Dyan Mulak, CRNA
• Monica Miller Muldoon, RN
• Adrienne Mulkey, CD (DONA)
• Carmen Griffith Mulkey, LPC
• William Louis Mulkey, MA, NCC, LPC, LPCS
• Naresh Mullaguri, M.D.
• Erin Maureen Mullaney, M.D.
• Meredith Mullaney
• Amber Mullen

• Clinical Nurse Specialist in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Nurse Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.